| NPI | 1467659656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08490700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432895) |
| 207R00000X Internal Medicine (Licence: MI 4301083907) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-04-27 |